MEDICARE: NICHOLAS DANIELS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1104222751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS DANIELS

Provider Business Mailing Address
First Line	:	1550 OLD HENDERSON RD STE W-110
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3626
Country	:	US
Telephone Number	:	866-509-3099
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 OLD HENDERSON RD STE W-110
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3626
Country	:	US
Telephone Number	:	866-509-3099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2014
Last Update Date	:	04/27/2026

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Directions to “ NICHOLAS DANIELS ” Practice Location

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